Central line: internal jugular - Revision history

Blsimpso: /* External Links */

2021-07-16T00:57:34Z

External Links

← Older revision		Revision as of 00:57, 16 July 2021
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	==External Links==		==External Links==
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~80317~~-~~overview#showall Medscape~~ - ~~Central Venous Access via Posterior Approach~~ to Internal Jugular Vein]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-central-vascular-procedures/how-to-do-internal-jugular-vein-cannulation?query=central%20line Merk Manual - How To Do Internal Jugular Vein Catheterization]
			*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-central-vascular-procedures/how-to-do-internal-jugular-vein-cannulation,-ultrasound-guided?query=central%20line Merk Manual - How To Do Internal Jugular Vein Catherization (Ultrasound-Guided)]

	==References==		==References==

2021-07-02T15:48:59Z

← Older revision		Revision as of 15:48, 2 July 2021
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	==See Also==		==See Also==
	{{Vascular access types}}		{{Vascular access types}}

			==External Links==
			*[https://emedicine.medscape.com/article/80317-overview#showall Medscape - Central Venous Access via Posterior Approach to Internal Jugular Vein]

	==References==		==References==

2021-05-08T03:40:59Z

Complications

← Older revision		Revision as of 03:40, 8 May 2021
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	==Complications==		==Complications==
			[[File:PMC3270925 rmhp-4-027f1.png\|thumb\|Right IJ catheter (tip at orange arrow) appropriately positioned relative to right tracheobronchial angle (at yellow arrow).]]
	*Arterial puncture and hematoma		*Arterial puncture and hematoma
	*[[Pneumothorax]]		*[[Pneumothorax]]

2021-05-08T03:36:54Z

Procedure

← Older revision		Revision as of 03:36, 8 May 2021
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	===Ultrasound-guided===		===Ultrasound-guided===
	[[File:PMC3270925 rmhp-4-027f7.png\|thumb\|Ultrasound image of right carotid artery (yellow star) and right internal jugular vein (white star).]]		[[File:PMC3270925 rmhp-4-027f7.png\|thumb\|Ultrasound image of right carotid artery (yellow star) and right internal jugular vein (white star).]]
			[[File:PMC3270925 rmhp-4-027f8.png\|thumb\|Ultrasound image of right internal jugular vein compressed by gentle probe pressure (white star) and carotid artery (yellow star).]]
	#Obtain informed consent when possible		#Obtain informed consent when possible
	#Trendelenberg is ideal position		#Trendelenberg is ideal position

2021-05-08T03:33:48Z

Procedure

← Older revision		Revision as of 03:33, 8 May 2021
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	==Procedure==		==Procedure==
	===Ultrasound-guided===		===Ultrasound-guided===
	[[File:~~TLC~~.~~jpg~~\|~~thumbnail~~\|~~Right IJ CVC in place~~]]		[[File:PMC3270925 rmhp-4-027f7.png\|thumb\|Ultrasound image of right carotid artery (yellow star) and right internal jugular vein (white star).]]
	#Obtain informed consent when possible		#Obtain informed consent when possible
	#Trendelenberg is ideal position		#Trendelenberg is ideal position
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	**Entry angle 45 deg		**Entry angle 45 deg
	**Aim for the suprasternal notch		**Aim for the suprasternal notch
			[[File:TLC.jpg\|thumbnail\|Right IJ CVC in place]]

	==Complications==		==Complications==

2021-05-08T03:32:03Z

Procedure

← Older revision		Revision as of 03:32, 8 May 2021
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	===Landmark technique===		===Landmark technique===
			[[File:PMC3270925 rmhp-4-027f5.png\|thumb\|Right side of anterior neck showing Sedillot’s triangle: sternal head of sternocleidomastoid (yellow arrow), clavicular head sternocleidomastoid (orange arrow), clavicle (red arrow); and position of appropriate cutaneous puncture at apex of triangle (black star).]]
	*Same preparation as above, differences from ultrasound method highlighted below		*Same preparation as above, differences from ultrasound method highlighted below
	*Rotate head 15-30 deg away from target side		*Rotate head 15-30 deg away from target side

2021-04-24T14:47:32Z

Complications

← Older revision		Revision as of 14:47, 24 April 2021
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	==Complications==		==Complications==
	*Arterial puncture and hematoma		*Arterial puncture and hematoma
	*Pneumothorax		*[[Pneumothorax]]
	*Hemothorax		*[[Hemothorax]]
	*Vessel injury		*Vessel injury
	*Air embolism		*Air embolism
	*Cardiac dysrhythmia		*[[Arrhythmia\|Cardiac dysrhythmia]]
	*Nerve injury		*Nerve injury
	*Infection		*Infection
	*Thrombosis		*Thrombosis
	*Catheter misplacement		*Catheter misplacement
			*Bleeding

	==See Also==		==See Also==

2021-04-15T15:55:59Z

← Older revision		Revision as of 15:55, 15 April 2021
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	{{Central line indications}}		{{Central line indications}}
			[[File:Gray558.png\|thumb\|Veins of the neck (anterior view).]]
	{{Central line contraindications}}		{{Central line contraindications}}

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	==Procedure==		==Procedure==
	~~[[File:Gray558.png\|thumb\|Veins of the neck (anterior view).]]~~
	===Ultrasound-guided===		===Ultrasound-guided===
	[[File:TLC.jpg\|thumbnail\|Right IJ CVC in place]]		[[File:TLC.jpg\|thumbnail\|Right IJ CVC in place]]

2021-04-15T15:55:28Z

← Older revision		Revision as of 15:55, 15 April 2021
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	==Procedure==		==Procedure==
			[[File:Gray558.png\|thumb\|Veins of the neck (anterior view).]]
	===Ultrasound-guided===		===Ultrasound-guided===
	[[File:TLC.jpg\|thumbnail\|Right IJ CVC in place]]		[[File:TLC.jpg\|thumbnail\|Right IJ CVC in place]]

2020-11-26T22:33:49Z